| NPI | 1972108983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAMZAM HIRSI Coordinator 520-232-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225CX0006X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |